Active NPI
Alan Lee Tribble
- Behavior Analyst
- Salt Lake City, UT
National Provider Identifier
1225426786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3274 E Oakcliff Dr
Salt Lake City, UT 84124 - Phone
- (801) 696-7319
- Fax
- (801) 272-7003
- NPI assigned
- Jan 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3274 E Oakcliff Dr
Salt Lake City, UT 84124
Mailing address
3274 E Oakcliff Dr
Salt Lake City, UT 84124-5660
Phone (801) 696-7319
Other practice location 1
179 N 1200 E
Suite 101
Lehi, UT 84043-2148
Phone (801) 935-4171 ext. 11
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-00-0069 | Other | UT | BEHAVIOR ANALYST CERTIFICATION BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan Tribble Behavior Analyst LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Salt Lake City, UT
- NPI 1720643778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1225426786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3274 E OAKCLIFF DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841245660",
"telephone_number": "801-696-7319",
"fax_number": "801-272-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3274 E OAKCLIFF DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84124",
"telephone_number": "801-696-7319",
"fax_number": "801-272-7003"
}
],
"practiceLocations": [
{
"address_1": "179 N 1200 E",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Lehi",
"state": "UT",
"postal_code": "840432148",
"country_code": "US",
"telephone_number": "801-935-4171 x11",
"fax_number": "888-261-6694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIBBLE",
"first_name": "ALAN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-06",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-00-0069",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.